Walk them or no leg to stand on! Diagnostic delay of neurologic conditions in young children

Emerg Med Australas. 2016 Oct;28(5):600-2. doi: 10.1111/1742-6723.12585. Epub 2016 May 23.

Abstract

Diagnosis of low incidence neurological conditions can be a challenge in paediatric emergency medicine. Neurological examination in young children can be very difficult, and medical staff may not previously have encountered conditions like acute demyelinating encephalomyelitis. We propose that the simple process of walking a child (provided they were previously ambulant) is the crucial step in the neurological examination. We present three cases to demonstrate this important part of the examination.

Keywords: diagnosis; neurological; paediatric; walking.

MeSH terms

  • Delayed Diagnosis
  • Emergency Medicine*
  • Humans
  • Infant
  • Nervous System Diseases / diagnosis*
  • Neurologic Examination*
  • Triage
  • Walking*